German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Rehabilitation participation rejection proof graph

Bundle ExampleRehabRejectionBundle of type collection


Entry 1 - fullUrl = https://fhir.cognovis.de/praxis/Patient/ExampleRehabPatient

Resso}:

Alex Becker (official) Unknown, DoB: 1978-04-17


Active:true

Entry 2 - fullUrl = https://fhir.cognovis.de/praxis/Practitioner/ExampleRehabRequester

Resso}:

active: true

name: Klara Neumann


Entry 3 - fullUrl = https://fhir.cognovis.de/praxis/Organization/ExampleRehabPayer

Resso}:

identifier: ArgeIkIknr/109500969

active: true

name: Example statutory payer


Entry 4 - fullUrl = https://fhir.cognovis.de/praxis/Coverage/ExampleRehabCoverage

Resso}:

identifier: Gesetzliche Krankenversicherung/A123456789

status: Active

type: gesetzliche Krankenversicherung

beneficiary: Alex Becker (official) Unknown, DoB: 1978-04-17


Entry 5 - fullUrl = https://fhir.cognovis.de/praxis/Condition/ExampleRehabCondition

Resso}:

clinicalStatus: Active

verificationStatus: Confirmed

code: Persistent functional limitation after orthopedic treatment

subject: Alex Becker (official) Unknown, DoB: 1978-04-17


Entry 6 - fullUrl = https://fhir.cognovis.de/praxis/ServiceRequest/ExampleFunctionTrainingRequest

Resso}:

identifier: https://fhir.cognovis.de/praxis/NamingSystem/authorization-request-id/E56-2026-0002

status: Active

intent: Order

category: e56 Rehabilitation Participation

code: No display for ServiceRequest.code (concept: )

subject: Alex Becker (official) Unknown, DoB: 1978-04-17

occurrence: 2026-08-01 --> 2027-01-31

authoredOn: 2026-07-16

requester: Practitioner Klara Neumann

insurance: Coverage: identifier = Gesetzliche Krankenversicherung; status = active; type = gesetzliche Krankenversicherung


Entry 7 - fullUrl = https://fhir.cognovis.de/praxis/Claim/ExampleFunctionTrainingClaim

Resso}:

identifier: https://fhir.cognovis.de/praxis/NamingSystem/authorization-request-id/E56-PAS-2026-0002

status: Active

type: Professional

use: Preauthorization

patient: Alex Becker (official) Unknown, DoB: 1978-04-17

created: 2026-07-16 11:00:00+0200

insurer: Organization Example statutory payer

provider: Practitioner Klara Neumann

priority: Normal

referral: ServiceRequest

Insurances

-SequenceFocalCoverage
*1trueCoverage: identifier = Gesetzliche Krankenversicherung; status = active; type = gesetzliche Krankenversicherung

Items

-SequenceProductOrServiceQuantity
*1Function training24 sessions (Details: UCUM code1 = '1*')

Entry 8 - fullUrl = https://fhir.cognovis.de/praxis/ClaimResponse/ExampleFunctionTrainingRejection

Resso}:

identifier: https://fhir.cognovis.de/praxis/NamingSystem/authorization-response-id/E56-DECISION-2026-0002

status: Active

type: Professional

use: Preauthorization

patient: Alex Becker (official) Unknown, DoB: 1978-04-17

created: 2026-07-19 09:30:00+0200

insurer: Organization Example statutory payer

request: Claim: identifier = https://fhir.cognovis.de/praxis/NamingSystem/authorization-request-id#E56-PAS-2026-0002; status = active; type = Professional; use = preauthorization; created = 2026-07-16 11:00:00+0200; priority = Normal

outcome: Processing Complete

disposition: The requested service requires additional clinical evidence.

item

itemSequence: 1

Adjudications

-CategoryReason
*Eligible AmountInsufficient Clinical Evidence

Entry 9 - fullUrl = https://fhir.cognovis.de/praxis/Task/ExampleFunctionTrainingTask

Resso}:

identifier: https://fhir.cognovis.de/praxis/NamingSystem/authorization-task-id/E56-TASK-2026-0002

status: Completed

intent: Order

code: Antrag einreichen

for: Alex Becker (official) Unknown, DoB: 1978-04-17

authoredOn: 2026-07-16 11:00:00+0200

lastModified: 2026-07-19 09:30:00+0200

requester: Practitioner Klara Neumann

owner: Organization Example statutory payer

Inputs

-TypeValue[x]
*Claim ReferenceClaim: identifier = https://fhir.cognovis.de/praxis/NamingSystem/authorization-request-id#E56-PAS-2026-0002; status = active; type = Professional; use = preauthorization; created = 2026-07-16 11:00:00+0200; priority = Normal

Outputs

-TypeValue[x]
*ClaimResponse ReferenceClaimResponse: identifier = https://fhir.cognovis.de/praxis/NamingSystem/authorization-response-id#E56-DECISION-2026-0002; status = active; type = Professional; use = preauthorization; created = 2026-07-19 09:30:00+0200; outcome = complete; disposition = The requested service requires additional clinical evidence.